Individual
PHYLLIS NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13687 N LAKEVIEW DR, LEWISTOWN, IL 61542-9258
(309) 547-2779
Mailing address
13687 N LAKEVIEW DR, LEWISTOWN, IL 61542-9258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.393497
IL
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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